| Doctor Name: | DANIEL BATES |
| NPI Number: | 1245688746 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 60642558 |
| Business Practice Address: | 3400 Se 196th Ave Ste 102 Camas, WA - 986078861 |
| Business Phone Number: | 3608701433 |
| Business Fax Number: | |
| Mailing Address: | 710 Nw 45th St, VANCOUVER |
| State: | WA |
| Postal Code: | 986601624 |
| Phone Number: | 3608701433 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2016 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 60642558 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |